Nottingham MBA Scholarship

Application Form 2015/16

Title: ¨ Mr ¨ Mrs ¨ Miss ¨ Ms ¨ Other

Surname or family name:

First name(s):

Date of birth:

Email address:

Correspondence address:

Contact telephone number

(including dialing code):

Course you have applied for:

University attended:

Dates attended:

Degree awarded:

PLEASE ATTACH A COPY OF YOUR FIRST DEGREE TRANSCRIPT OF MARKS

English Language Qualification (If English is not your first language or you do not have a first degree from a UK/US institution):

Name of test:

Month and year of test: (dd/mm/yyyy)

Test score:

Listening Reading Writing Speaking

Employment and Work Experience

Start and end dates Employer’s name and address Job title and responsibilities

Have you been resident in the UK for the last 3 years without a break?

¨ Yes

¨ No Ø

¨ Please tick to confirm that the Business School has already made you an offer of a place.

Have you applied for financial assistance elsewhere? Yes No

If yes, please give details, including the outcome of the application if known:

Declaration

The information I have given on this form is complete and accurate to the best of my knowledge and belief.

Signed

Name Date

Attach a brief statement of no more than 500 words addressing the question:

What exceptional leadership qualities will you contribute to the Nottingham MBA and how will the MBA help you to grow as a leader?

What criteria are used to decide on the award?

When deciding on awarding the scholarships, a range of criteria are used including academic achievement to date, quality of essay, evidence of capacity to conduct and complete the MBA programme and relevant professional experience. Please note that only complete applications will be considered.

The scholarships are awarded by a Nottingham University Business School Scholarship and Bursary Committee, which typically includes the school’s Director of MBA Programmes, named MBA Course Directors (or their nominee) and other senior Business School faculty.

Please note that all scholarship and bursary winners’ names will be published on the Nottingham University Business School’s website.

This form should be returned together with your transcript of marks and statement to:

MBA Admissions Administrator

Room B47

Nottingham University Business School

Jubilee Campus

Wollaton Road

Nottingham NG8 1BB

UK

or email your documents to: